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Jan 8, 2010
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the advantage program, medicare part b systems of switzerland and other lands, arguably also germany also contains many elements of an exchange. the health alliances and around which the clinton health plan was bills were exchanges appear, as were in our state base and private purchasing cooperatives which have been tried repeatedly and sometimes with success over the past two decades. connecticut business and industry association represented here today one represents a successful private purchasing cooperative. of course, while each of these models can be called an exchange, they are, in fact, quite different. indeed, the models represented by the house and senate bills are different in very significant ways. the focus of my paper and of my brief presentation this morning is on how the house and senate bills differ and on which model is most likely to result in the exchange spenser's past the goals that an exchange is intended to fulfill. first, quickly let me ask the question, why do we need exchange? what do we expected to accomplish for us? this change is intended to play in numb
the advantage program, medicare part b systems of switzerland and other lands, arguably also germany also contains many elements of an exchange. the health alliances and around which the clinton health plan was bills were exchanges appear, as were in our state base and private purchasing cooperatives which have been tried repeatedly and sometimes with success over the past two decades. connecticut business and industry association represented here today one represents a successful private...
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Jan 24, 2010
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we have a quasi system of medicare and medicaid, half of all government expenditures paid for by the government -- half of health care expenditures. to put it simply they involve massive subsidization of everybody and keep the prius below what they would pay in a market. what happens is is elementary. if you subsidize something you get more of it. once you get more to get big explosion in demand and eventually the government has to put a cap on that and then you get rid of rationing and when that happens you get lines and who is going to go to the top-of-the-line? i will tell you, we know this and have this, people like me with connections, people who are knowledgeable, the king gave the system. will go to the bottom? look at poor west virginians. so if you want to be fair this is not a curse system. now, to do this we would have to talk about what a feasible alternative, real market based insurance would look like. he wanted to talk about that? >> yes please. >> we have to compare two alternative because is not fair to look in a system and say it has a problem without working its so
we have a quasi system of medicare and medicaid, half of all government expenditures paid for by the government -- half of health care expenditures. to put it simply they involve massive subsidization of everybody and keep the prius below what they would pay in a market. what happens is is elementary. if you subsidize something you get more of it. once you get more to get big explosion in demand and eventually the government has to put a cap on that and then you get rid of rationing and when...
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Jan 9, 2010
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the medicare advantage program, medicare part b program, health care systems of switzerland or the netherlands arguably also germany contain many of the elements of the exchange. the health alliances are not which the clinton health plan wailled or exchanges. as were in our state based and private purchasing cooperatives which have been tried repeatedly and sometimes with success over the past two decades. the connecticut business industry association represented here today by mr. vogel represents a successful private purchasing cooperative. the of course will each model can be called an exchange they are in fact quite different. indeed the models represented by the house and senate bills are different in very significant ways. the focus of my paper and of my brief presentation this morning is on how the house and senate bills differ and on which model is most likely to result in the exchange the serbs' best the goals that an exchange is intended to fulfill. first, quickly let me ask you the question why do we need an exchange, what do we expect an exchange to accomplish. the exchange is inten
the medicare advantage program, medicare part b program, health care systems of switzerland or the netherlands arguably also germany contain many of the elements of the exchange. the health alliances are not which the clinton health plan wailled or exchanges. as were in our state based and private purchasing cooperatives which have been tried repeatedly and sometimes with success over the past two decades. the connecticut business industry association represented here today by mr. vogel...
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Jan 12, 2010
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we should be looking at the medicare trust fund and the pressures that on how that trust fund. the ballooning costs of medicaid. if we move to a public auction. as a move into the health care reform or even from my state the lessons should have been learned from tenor who care which was the test case for hillary clinton care in '94, my states still has this, it is the greatest public health failure in the country. that would be a great opportunity for us to look at what is affecting us with health care. certainly there are more pressing issues fell. we are appreciative of your time to be before us today in fall we all are concerned with leaching chemicals that come from plastics into bottled water, we are, indeed, very concerned with what we see what has suppressed during evidence from a speech to employees and are concerned with what we've seen, health care issues that are affecting all of our constituents and a lack of willingness to address those in in a patient's center consumer driven manner and i yield back my time. >> thank you. let me respond that we had a hearing just
we should be looking at the medicare trust fund and the pressures that on how that trust fund. the ballooning costs of medicaid. if we move to a public auction. as a move into the health care reform or even from my state the lessons should have been learned from tenor who care which was the test case for hillary clinton care in '94, my states still has this, it is the greatest public health failure in the country. that would be a great opportunity for us to look at what is affecting us with...
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Jan 20, 2010
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the clerk: h.r. 3961, an act to amend title 18 of the social security act to reform the medicare s.g.r. payment system for physicians and for other purposes. h.r. 4154, an act to amend the internal revenue code of 1986 to repeal the new carrier overbasis rules in order to prevent tax increases, and so forth and for other purposes. mr. reid: mr. president, i would object to further proceedings in respect to these two bills. the presiding officer: objection having been heard, the bills will be placed on the calendar. mr. reid: mr. president, visiting with nevadans as i have done during these past several weeks, it's impossible not to be motivated to get back to the business of legislating. it's impossible to ignore their grief over growing foreclosures, the uncertainty of unemployment, and the frustration of fighting insurance companies for your family's health, and it's just as evident that the people of nevada and the nation need us to work toward sensible solutions rather than drown once again in the partisan bickering that consumed much of last year. some elections go your way. some
the clerk: h.r. 3961, an act to amend title 18 of the social security act to reform the medicare s.g.r. payment system for physicians and for other purposes. h.r. 4154, an act to amend the internal revenue code of 1986 to repeal the new carrier overbasis rules in order to prevent tax increases, and so forth and for other purposes. mr. reid: mr. president, i would object to further proceedings in respect to these two bills. the presiding officer: objection having been heard, the bills will be...
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Jan 9, 2010
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the medicare advantage program, the medicare part "d" program and those in the netherlands and switzerland and arguably in germany, also exchanged -- contain elements of health insurance exchange. the connecticut business and industry association represented here by mr. vogel today represents a successful private purchasing cooperative. while each of these models can be called an exchange, they are, in fact, quite different. indeed, the models represented by the house and senate bills are different in very significant ways. the focus of my paper and my brief presentation this morning is how the house and senate bills differ and which model is most likely to result in the most likely to result in the exchange first, quickly, why do we need an exchange? what we expected to accomplish? the exchange is intended to play a number of roles in health care reform. sarah briefly went over this, but let me do it again. is if acted to be the locust of competition. it is hoped the exchange will focus competition on price and quality rather than on at risk avoidance, thus making health insurance more af
the medicare advantage program, the medicare part "d" program and those in the netherlands and switzerland and arguably in germany, also exchanged -- contain elements of health insurance exchange. the connecticut business and industry association represented here by mr. vogel today represents a successful private purchasing cooperative. while each of these models can be called an exchange, they are, in fact, quite different. indeed, the models represented by the house and senate bills...
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Jan 9, 2010
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medicare benefits, broadly speaking, the bill would cut about a round $400 billion out of the medicare program in terms of how much it pays providers. we would see cuts through that but we are not expected to see cuts in actual medicare benefits. whatever medicare benefits people get now whether it is a school or something else, they should expect to be able to do that. host: the president wants a final version signed by the time of the state of the union. is that possible? guest: it is still possible but that is a tight timeline. in late january, there could be taught that it could be moved to early february because they want to get as much progress done as possible on the bill before the state of the union. i think it is still a realistic goal at this point point. but there is a lot of ground they need to cover in merging these two bills. host:wsj.com if you want to find that information there. we will talk about legislation that kicks in in february concerning credit cards. we will learn about details of that in a few minutes. a little but now from our "newsmakers" program. doug shu
medicare benefits, broadly speaking, the bill would cut about a round $400 billion out of the medicare program in terms of how much it pays providers. we would see cuts through that but we are not expected to see cuts in actual medicare benefits. whatever medicare benefits people get now whether it is a school or something else, they should expect to be able to do that. host: the president wants a final version signed by the time of the state of the union. is that possible? guest: it is still...
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Jan 27, 2010
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we need to move forward in terms of other reforms in medicare to make sure we extend the life of medicare, going forward. also, as part of this reform, we close the doughnut hole in the prescription drug care program. host: on the democratic line. laurel, maryland. caller: i am a democrat and i am satisfied with what the president is trying to do. what i want oall of our representatives to remind people is the budget before him did not have the love of the wars for the double you are talking about they keep on talking about cuts in the budget. they are not even adding that picture money. i was for the public option. i have a pre-existing condition, lupus. i had to have a kidney transplant. no, i am not dependent on medicaid, but i also have bluecross blueshield. these people that have medicaid, medicare, and they do not want to help anybody else that is the point i want to get over -- that is the point i cannot get over. guest: with respect to medicare, it has been a very successful program. it has kept millions of seniors from falling into poverty. we need to do everything we can to pres
we need to move forward in terms of other reforms in medicare to make sure we extend the life of medicare, going forward. also, as part of this reform, we close the doughnut hole in the prescription drug care program. host: on the democratic line. laurel, maryland. caller: i am a democrat and i am satisfied with what the president is trying to do. what i want oall of our representatives to remind people is the budget before him did not have the love of the wars for the double you are talking...
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Jan 28, 2010
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group of americans called the baby boomers are going to retire, and the cost of social security and medicare is going to skyrocket. these are promises we have to keep to seniors because they pay for it, but we have no idea of how we're going to keep those promises to seniors right now, particularly in light of the current economic situation. as we look at where we are, we need to recognize how we got there. and as i've talked to banks, businesses, foreign financial ministers from europe who have come here, everyone agrees that there are two major causes of the economic problems here and around the world. and one is the high leverage or the high borrowing that went on because of the loose monetary policy at the federal reserve. easy money, cheap money encouraged companies and individuals to borrow more than they could afford to pay back because it was easy to get and cheap. the big banks on wall street could more easily borrow money than to raise capital. those were incentives created by the policies at the federal reserve. the second problem is what we are calling toxic assets, which are sec
group of americans called the baby boomers are going to retire, and the cost of social security and medicare is going to skyrocket. these are promises we have to keep to seniors because they pay for it, but we have no idea of how we're going to keep those promises to seniors right now, particularly in light of the current economic situation. as we look at where we are, we need to recognize how we got there. and as i've talked to banks, businesses, foreign financial ministers from europe who...
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Jan 10, 2010
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guest: for doctors, they don't like to have patients at medicare or medicaid. they don't want so many of the newly insuranced to be going on to medicaid. for consumers, the problem is whether they'll be able to find a doctor. if they have a new insurance program and can't find a doctor. having insurance doesn't do them very good. host: if i'm a hospital, how does this change the practices of the hospital as far as tests given by the practice? hospitals have the same concern. broadly speaking, they like the fact that they are not going to have so many uninsured people. they give a lot of caraway for people that don't pay their bills. they wouldn't have to make -- basically throwing so much money away. host: is this through the emergency room? guest: that's the main avenue. they also get government payments to offset the cost of that care. there for, they are not going to be getting those payments anymore. donald on the democrat line you've answered a lot of my questions sitting here listening i'm a little upset with our president. we need the public option. i re
guest: for doctors, they don't like to have patients at medicare or medicaid. they don't want so many of the newly insuranced to be going on to medicaid. for consumers, the problem is whether they'll be able to find a doctor. if they have a new insurance program and can't find a doctor. having insurance doesn't do them very good. host: if i'm a hospital, how does this change the practices of the hospital as far as tests given by the practice? hospitals have the same concern. broadly speaking,...
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Jan 6, 2010
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and so social security, food stamps, and medicare are examples of those more federal uniform policies. if a program or policy is he developed at a time when there is a major goal to reduce the role of the federal government or the size of the federal government, which was true in the 1980's, the goal is to devolve decision-making and administration from the federal level down to lower levels. and then you wind up getting policies like the current welfare system, the temporary assistance for needy families, and workforce development. if on the other hand, program or policies being developed by congress at the national level at a time when there's distrust of state and local government, but more trust in the federal government, perhaps like in the 60's during the war on poverty, then you may see more federal control of programs, but devolution down to the local level. community action agencies, public health centers are examples of those. the depending on when a policy or program is enacted in congress, the philosophies, the values that are dominant at that particular time heavily influ
and so social security, food stamps, and medicare are examples of those more federal uniform policies. if a program or policy is he developed at a time when there is a major goal to reduce the role of the federal government or the size of the federal government, which was true in the 1980's, the goal is to devolve decision-making and administration from the federal level down to lower levels. and then you wind up getting policies like the current welfare system, the temporary assistance for...
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Jan 8, 2010
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the medicare advantage program the medicare part "d" program and those in the netherlands and switzerland and arguably in germany also exchanged -- contain elements of health insurance exchange. the connecticut business and industry association represented here by mr. vogel today represents a successful private purchasing cooperative. while each of these models can be called an exchange, they are in fact, quite different. indeed the models represented by the house and senate bills are different in very significant ways. the focus of my paper and my brief presentation this morning is how the house and senate bills differ and which model is most likely to result in the exchange that serves the best the goals that an exchange is intended to fulfill. first, let me ask you the question why do we need an exchange? what do we expect an exchange to accomplish for us that? it is intended to play a number of roles in health care reform. sarah briefly went over this, but let me do it again. first, it is expected to be the lowest of managed competition among health insurance plans. it is hoped that t
the medicare advantage program the medicare part "d" program and those in the netherlands and switzerland and arguably in germany also exchanged -- contain elements of health insurance exchange. the connecticut business and industry association represented here by mr. vogel today represents a successful private purchasing cooperative. while each of these models can be called an exchange, they are in fact, quite different. indeed the models represented by the house and senate bills are...
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Jan 23, 2010
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being a senior citizen above the age of 65, you are on medicare. to the extent that medicare does provide the things that you're looking at for your care, well, we've sort of addressed that. but how much better couldal retirement health care be if we were to make the kinds of reforms they would like to see in health care? and here's what i'd like to see and how they relate to retirement. i would like to see everybody in the united states be able to buy their owner health insurance and take that health insurance with them when they change jobs. you know, we provide health insurance through americans through their worth and when they leave that job, and millions do every year, they lose that shunchts that's one of the major causes for uninsurance. it also is a huge but secret cost on health insurance helping to raise the prices of health insurance rather than lowering them. when you buy your own car insurance or health insurance, you're shopping around. and you're finding the lowest price and the best coverage. you should be able to do that for healt
being a senior citizen above the age of 65, you are on medicare. to the extent that medicare does provide the things that you're looking at for your care, well, we've sort of addressed that. but how much better couldal retirement health care be if we were to make the kinds of reforms they would like to see in health care? and here's what i'd like to see and how they relate to retirement. i would like to see everybody in the united states be able to buy their owner health insurance and take that...
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Jan 30, 2010
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l with these scams with health insurance and all these things and they are sucking the life out of medicare and social security. for the veterans of this country and the veterans tat bush left behind it did not -- they did not do anything for the veterans. these programs are what keep the rest of the surviving here. what is happening is that the republican constituents are starting to feel how the rest of america used to feel. host: connecticut, on our independent line, go ahead. caller: what i learned yesterday was democracy in action. if that was a boxing match, president obama 113 rounds. ford simple -- won 13 rounds. i am a fiscal conservative. he called of frank luntz and said it is good to have good talking points on different policies but you cannot throw out jobs. they have to work together. that was amazing. i had never seen anything like it. i watched it on c-span yesterday. i watched it this morning. thank you for everything you do for cspan. host: if you missed the re-air on this, you could go to our website, c-span.org. little rock, arkansas, and arab democrats line -- on our d
l with these scams with health insurance and all these things and they are sucking the life out of medicare and social security. for the veterans of this country and the veterans tat bush left behind it did not -- they did not do anything for the veterans. these programs are what keep the rest of the surviving here. what is happening is that the republican constituents are starting to feel how the rest of america used to feel. host: connecticut, on our independent line, go ahead. caller: what...
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Jan 23, 2010
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and we get the job done without cutting medicare or raising your taxes. these solutions aren't being devised behind closed doors with special interests having the final say. we're soliciting feedback on facebook and twitter and developing the best ideas, and all the details are available at solutions.gop.gov. those in washington now have a choice -- work with republicans to get our nation back on its feet or double down on the job-killing policies that are making matters worse. so at the state of the union, we'll listen to what the president has to say, but make no mistake -- the powers that be in washington keep turning their backs on the people. the republicans will continue to challenge the status quo and offer better solutions. our fight for reform, for freedom and for common sense is far from over. thanks for listening. >> sunday on "washington journal," a discussion on the status of health care legislation in light of the massachusetts senate election, with byron york of the "washington examiner" and christopher hayes of "the nation." also, a look a
and we get the job done without cutting medicare or raising your taxes. these solutions aren't being devised behind closed doors with special interests having the final say. we're soliciting feedback on facebook and twitter and developing the best ideas, and all the details are available at solutions.gop.gov. those in washington now have a choice -- work with republicans to get our nation back on its feet or double down on the job-killing policies that are making matters worse. so at the state...